Puerto Rico Health Management

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PUERTO RICO HEALTH MANAGEMENT

Practice address

Escorial Office Building One 1400
Ave. de Diego Suite 300
Carolina, PR 00987-4703

Phone

(787) 444-4908

NPI assigned

Sep 6, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alex Carrasquillo

Title

VP

Phone

(787) 444-4908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1417439456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESCORIAL OFFICE BUILDING ONE 1400",
            "address_2": "AVE. DE DIEGO SUITE 300",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874703",
            "telephone_number": "787-444-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESCORIAL OFFICE BUILDING ONE 1400",
            "address_2": "AVE. DE DIEGO SUITE 300",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874703",
            "telephone_number": "787-444-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "787-444-4908"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "4296",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promed Carolina
• Promo Salud Inc
• Prorad Imaging, PSC
• Luciano Puccio Hernandez, M.D.
• Puerto Rico Dental Care
• Anabel Puig, PH.D
• Clarissa Pulliza, R.PH
• Pulmiserv PSC
• Pulmonary Diagnostic & Rehabilitation, Corp.
• Quality Endodontics PSC

• Multi-Specialty Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.